Benign prostatic hyperplasia and the modern TURis method: a bloodless solution for a common male condition

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Benign prostatic hyperplasia (BPH) is a very common condition that significantly affects the male population, especially after age 50. It involves a gradual increase in the size of the prostate over time. Although it is not related to cancer, BPH can cause serious urinary problems, as the enlarged prostate presses on the urethra and affects urine flow.

Symptoms and Impact on Daily Life

The symptoms associated with benign prostatic hyperplasia They are classified as obstructive or irritative. Patients may experience difficulty initiating urination, a weak urine stream, frequent urination, nocturia, and even a sensation of incomplete bladder emptying. Often, quality of life is significantly affected, as patients restrict their daily activities, avoid travel or social engagements, and frequently reduce their fluid intake to avoid discomfort.

Diagnosis and Early Intervention

The diagnosis of benign prostatic hyperplasia is based on a series of tests, such as ultrasound, uroflowmetry, digital rectal examination, and PSA testing. In some cases, cystoscopy is required. Early diagnosis is vital, as neglecting BPH can lead to serious complications, such as urinary retention, kidney damage, urinary tract infections, and hematuria.

Treatment Options and the TURis Method

Treatment depends on the severity of the symptoms. In mild cases, medication or monitoring is used. When medication fails or complications arise, surgery is necessary. One of the most modern and effective methods is TURis (Transurethral Resection in Saline), a minimally invasive technique that offers excellent results without significant complications.

How is the TURis method applied?

In the TURis method, the hyperplastic tissue is removed using a special instrument through the urethra, without an incision. The use of bipolar energy in normal saline ensures excellent hemostasis, eliminating the need for a blood transfusion or the risk of transurethral syndrome. The procedure takes approximately 60–90 minutes and is followed by a rapid recovery, with no postoperative pain or the need for a prolonged hospital stay.

Benefits and Recovery After TURis

Η TURis It offers numerous advantages: minimal trauma, reduced hospital stay, histological examination of the tissue, and applicability to any prostate size. Sexual function is preserved, although retrograde ejaculation is commonly observed, which does not affect the sensation of orgasm. The patient can resume his normal activities within a few days, and full recovery is achieved within weeks.

For more information, please contact Urologist and Andrologist Dr. Michalis Em. Koumentakis.

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